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Anesthesia committee denies level‑4 permit exception for applicant with non‑CODA fellowship

Texas State Board of Dental Examiners · May 8, 2026
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Summary

The anesthesia committee denied a request to grant a level‑4 anesthesia permit based on a one‑year fellowship that lacks CODA accreditation. The applicant, who previously held a level‑4 permit and now leads a special‑needs clinic, told the committee he would use level‑4 techniques to treat patients if permitted; the committee voted to deny and invited him to appear to the full board.

An applicant requested an exception to the educational requirement for a level‑4 anesthesia permit based on a one‑year fellowship at Indiana University’s department of anesthesia. Staff noted the fellowship is not CODA‑accredited and reminded the committee that a similar request had been denied in 2023. The applicant, who previously held a level‑4 permit and currently directs a dental special‑needs clinic, described clinical experience with infusions and advanced sedation techniques and said allowing occasional level‑4 use would expand local access to care for high‑need patients.

Committee members questioned the program accreditation, prior permit history and the safety of moving a non‑CODA‑accredited fellow into a level‑4 role. After discussion the committee voted to deny the exception request; the applicant was advised he may appear before the full board.